PRENATAL CHARTING BASE LINES: CARE GIVERS
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PRENATAL CHARTING BASELINES
Questions For Care Givers: Policies, Partners, Support.
By L'dia Men-Na'a
- [] Midwife [] Doula [] Educator [] Doctor
- [] 1. What is the fee for your services?
- [] 2. Are your fee’s itemized according to the services provided?
- [] 3. Prenatal care: .........$___.__
- [] Labor and delivery: .$___.__
- [] Postpartum care: ....$___.__
- [] 4. What services does your fee cover?
- [] 5. Do you take insurance, if yes which types?
- [] 6. Do you offer a payment plan for your services?
- BIRTHING PARTNERS:
- [] 7. Do you practice in a group?
- [] 8. How many partners do you have that assist you? if yes, will I have a choice of practitioners?
- [] 9. Do you plan to be away at any time during my prenatal care?
- [] 10. Do you do home births?
- [] 11. Do you do births at a birthing center?
- [] 12. Do you do births at a hospital?
- BIRTHING POLICIES:
- [] 13. Do you attend to the mother throughout labor?
- [] 14. How long do you attend to mother following labor and delivery?
- [] 15. Do you view birth as a natural physiological process?
- [] 16. What is your policy on routine intervention?
- [] 17. What is your policy on transportation to the hospital?
- [] 18. What role do you play in a hospital environment?
- [] 19. Do you practice natural childbirth using wholistic methods of care?
- [] 20. How many of your mothers have delivered without medication?
- [] 21. Do you require a prep before birth, such as shave or an enema?
- [] 22. What is your policy on fetal monitoring?
- [] 23. Do you use a fetascope, doptone (Doppler)?
- [] 24. Do you use continuous external monitor?
- [] 25. Do you use a continuous internal monitor?
- [] 26. Do you routinely use an IV (intravenous device)?
- [] 27. Do you allow mother to deliver in her own clothes?
- [] 28. Is the mother confined to the labor/delivery room or is encouraged to walk around?
- [] 29. Is mother allowed to move and change positions in labor?
CHARTING BASELINES: CLICK ON IMAGE 3x TO ENLARGE
BIRTHING SUPPORT:
- [] 30. Do you explain to mother what is going on during pregnancy and in labor?
- allowing her some choices and in volvement in making decisions?
- [] 31. Do you remain with mother continuously during labor, or do you have a nurse, apprentice, or doula stay with her?
- [] 32. How many can be present during a routine labor/delivery?
- [] 33. Who can be present during a cesarean delivery?
- [] 34. Do you allow apprentices, assistants, trainees, visitors to assist or watch during labor and delivery?
- [] 35. Do you allow apprentices, assistants, trainees, visitors who are not approved by the mother to assist?
- EDUCATIONAL SERVICES:
- [] 36. Do you or does someone you recommend teach childbirth education classes?
- [] 37. What do you recommend that a childbirth education class cover?
- ROUTINE TESTS AND PROCEDURES:
- [] 38. Under what conditions do you recommend amniocentesis?
- [] 39. Under what conditions do you recommend ultrasound?
- [] 40. STI: [] HIV: []
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